UICC World Cancer Congress 2006

Methods: Intermediate treatment results were analysed in 39 patients in which D2 lymph node dissection was supplemented with paraaortal dissection.

Results: The rate of postoperative complications was 38.5% (15 of 39 patients). The most frequent complication of paraaortic lymph node dissection turned to be prolongation of discharge from abdominal drains. Diarrhea, requiring correction was noted in 4 patients. There was 1 (2.6%) postoperative death due to peritonitis, developed after relaparotomy, due to ileus and infrahepatic abscess. The rate of paraaortic metastases constituted 11/39 (28.2%). The analysis made resulted in the following major risk factors of paraaortic metastases: serosal invasion, tumor size more than 7 cm., metastases in coeliac nodes. In patients with serosal invasion, and, in addition, the presence of metastases in coeliac nodes, the probability of metastases in the paraaortic lymph nodes is extremely high (100% according to our study). Operation for such cancer spread at the extent less than D3, is to be considered as palliative.